| NPI | 1942463252 |
|---|---|
| Former Name | LILIYA SHEVCHENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: MI 5101017636) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101017636) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2021-01-26 |